Individual
PAUL PURDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3141 SUNSET DR W, UNIVERSITY PLACE, WA 98466-2510
(866) 835-8091
Mailing address
3141 SUNSET DR W, UNIVERSITY PLACE, WA 98466-2510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160047618
WA
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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